Faculty of Medicine-Mansourauniversity

PROGRAMSPECIFICATION

Faculty of Medicine-MansouraUniversity

(A)Administrativeinformation

(1)Program Title & Code / Postgraduate Doctoratedegree of Otorhinolaryngology/ ENT600
(2)Final award/degree / M.D.
(3)Department (s) / Otorhinolaryngology Department
(4)Coordinator / Prof. Dr. Asser Abdel Raoof EL-Sharkawy
Professor of Otorhinolaryngology - Faculty of Medicine-Mansoura University
(5)External evaluator (s) / Prof.Dr.Ahmed Samy Elgendy
Professor of Otorhinolaryngology- Tanta University.
(6)Date of approval by the Department`s council / 14/5/2016
(7)Date of last approval of program specification by Faculty council

(B)Professional information

Otorhinolaryngology is the medical specialty for Ear, Nose & Throat disorders, it is concerned with diseases and disorders of voice, speech, respiration, and hearing (in so far as hearing impairment has its effects on any of the areas previously mentioned) and swallowing, Ear and Nose.

The specialty is based on the anatomical, physiological, diagnostic and therapeutic principles of Otorhinolaryngology and also on other medical disciplines (e.g. neurology, psychiatrics, pediatrics, dentistry, orthodontics) and non-medical sciences (e.g. linguistics, phonetics, psychology, behavior sciences, pedagogics, acoustics, communication sciences).

(1) Program Aims:

The broad aims of the Program are as follows:

(2) Intended Learning Outcomes (ILOs):

Intended learning outcomes (ILOs); Are four main categories: knowledge & understanding to be gained, intellectual qualities, professional/practical and transferable skills.

A-Knowledge and Understanding:

On successful completion of the program, the candidate will be able to:

2- Intellectual activities (I)

The Postgraduate Degree provides opportunities for candidates to achieve and demonstrate the following intellectual qualities:

B- Intellectual skills :

C- Professional/practical skills:

D- Communication & Transferable skills:

(3)Academic standards:

Academic standards for the program are attached in AppendixI. in which NARS issued by the National Authority for Quality Assurance & Accreditation in Education are used. External reference points/Benchmarks are attached in Appendix II.

3.a- External reference points/benchmarks are selected to confirm the appropriateness of the objectives, ILOs and structure of assessment of the program:

The program is structured according to education standards and training program provided by the Accreditation Council for Graduate Medical Education (ACGME).

3.b- Comparison of the specification to the selected external reference/ benchmark:

1- All program aims of the Benchmarks are covered by the current program.

2- The program courses are matched by 90% degrees to those offered by the European universities except in the context of credit hours, and the durations of rotations in other specialties.

Knowledge and understanding.

Courses / ILOs / ARS / NARS
-Surgical Anatomy & Embryology of ENT head & neck and chest
-Pathology of ENT and head & neck neoplasms
-Physiology related to ENT, Head and Neck Surgery
-ENT: Otology
-ENT: Rhinology
-ENT: Throat
- Basics & Principles of Facial Plastic surgery
- Basic of Allergy & Immunlogy
- Basic Principles of Laser Srugery
- Surgery of Salivary glands / A1, A2, A4, A5, A6, A7, A8, A9, A10, A11, A12, A13 / A1.Identify and recognize basic knowledge related to the anatomy, physiology and pathological physiology of the Ear, Nose and Throat.
A2.Explain the basics of physiology and central neural mechanisms and integration processes in speech, hearing, and swallowing.
A4.Identify the developmental and aging processes as to ORL diseases.
A5.Recognize the epidemiology, etiology, pathogenesis, prophylaxis, clinical physiology, diagnostics, differential diagnostics, therapeutics and rehabilitation of the ORL Diseases that include:
A5a. Ear Diseases.
A5b. Nose Diseases.
A5c. Diseases of the larynx.
A5d. Diseases of Salivary Glands
A6.Discuss the epidemiology, etiology, pathogenesis, prophylaxis, clinical physiology, diagnostics, differential diagnostics, therapeutics of Ear disorders (congenital, inflammatory, neoplastic and allergic ear diseases).
A7.Identify and explain the epidemiology, etiology, pathogenesis, prophylaxis, clinical physiology, diagnostics, differential diagnostics, therapeutics of laryngeal diseases (congenital, inflammatory, traumatic, neoplastic, allergic).
A8.Acquire specific knowledge in the epidemiology, etiology, pathogenesis, prophylaxis, clinical physiology, diagnostics, differential diagnostics, therapeutics and maxillofacial trauma.
A8a. Frontal fractures
A8b. Midfacial fractures
A8c. Mandibular fractures
A9. Know the epidemiology, etiology, pathogenesis, prophylaxis, clinical physiology, diagnostics, differential diagnostics, therapeutics and rehabilitation of the swallowing disorders.
A10. Acquire selected knowledge from other disciplines (phoniatrics, acoustics, psychology and behavioral science).
A11. Acquire the basic knowledge for evaluating of children with outpatient health problems, disabilities and milestones delay.
A12. Acquire the basic knowledge in evaluating of psychiatric patients in the domain of phoniatrics.
A13. Acquire the basic knowledge for interpreting a basic and computerized audiological report. /

The theories, concepts and modern knowledge in the field of specialization and other related field

-ENT: Throat / A14 / A14. Acquire teaching abilities relevant to disorders of voice, speech, language and swallowing in order to participate in planning and implantation of that field /

The basics, methodologies, ethics of scientific research and its versatile tools

-ENT: Otology
-ENT: Rhinology / A15 / A15. Acquire the basic knowledge of legal and medicolegal issues as well as issues related to medical ethics in his specialty.
· /

The moral and legal ethics of the professional practice in the area of specialization

-ENT: Otology
-ENT: Rhinology / A16 / A16. Know indications, contraindications, technique and complications of endoscopic diagnosis and management of Ear Nose and throat diseases / 4.The concepts and principles of quality of the professional practice in the area of specialization
-ENT: Otology
-ENT: Rhinology
-ENT: Throat / A3 / A3.Discuss role of genetics and environmental etiologies on different ENT disorders. /

The knowledge on the effects of professional practice on the environment and ways of development and maintenance of the environment

Intellectual skills

Courses / ILOs / ARS / NARS
-ENT: Otology
-ENT: Rhinology
-ENT: Throat / B4, B13, B14, B15, B16, B17 / B4. Choose the suitable investigation according to the patient complaint and physical examination as well as the ability to analyse and relates the results of all different items of the battery of investigations in order to reach at an etiological diagnosis and possible differential diagnosis utilizing his/her theoretical background that draws charts for different groups of aliments in the field of otology.
B13. Assess the developmental milestones of children and classify their different types of disabilities.
B14. Outline an algorism for diagnosis and management of children disability and determine the degree of handicap.
B15. Determines the cause of the neurological deficit in the domain of ENT).
B16. Interprets the results of investigations as CT, MRI and PTA.
B17. Outline the tumor staging system (TNM) and algorism for patient management according to the cancer stage. / 1)Analyze and evaluate of information in the field of specialization and make full use of such information to solve problems
-ENT: Rhinology
-ENT: Throat
- Basics & Principles of Facial Plastic surgery
- Basic of Allergy & Immunlogy
- Basic Principles of Laser Srugery
- Surgery of Salivary glands / B1 / B1.Analyze the different therapeutic options in diseases of ORL, language and swallowing and applies them surgically, pharmacologically and behaviorally in order to be able to draw and perform the strategy of the therapy in the field efficiently. / 2)Solve specific problems on the basis of limited and contradictory information
-ENT: Throat / B12 / B12. Grasp the principles of scientific research in the field of voice, speech, language and swallowing disorders in order to carry out efficiently academic and field research work. / 3)Carry out a research studies to add new information to the knowledge
-ENT: Throat / B12 / B12. Grasp the principles of scientific research in the field of voice, speech, language and swallowing disorders in order to carry out efficiently academic and field research work. / 4)Write scientific papers
-ENT: Otology
-ENT: Throat / B10 / B10. Outline an algorism for diagnosis and treatment for the hearing impaired patient in order to include it efficiently in the comprehensive program for rehabilitation of the hearing handicapped. / 5)Assess and analyze risks in the field of specialization
-ENT: Throat / B6, B7, B8, B11 / B6. Grasps the principles of voice therapy in order to criticize the efficiency and pitfalls of each.
B7. Recognize the principles of behavior therapy in order to introduce efficiently these measures in the therapeutic programs given to patients.
B8. recognize the principles of general language stimulation in order to be able to give efficient family guidance programs to help families that have children with delayed language development to participate efficiently in the therapeutic program.
B11. Identifies the role of prosthetic devices and aids in the therapeutic program for diseases of voice, speech, language and swallowing in order to be able to use it efficiently when indicated. / 6)Plan to improve performance in the field of specialization
-ENT: Rhinology
-ENT: Throat / B5 / B5. Analyse the different options in pharmacological treatment of diseases of the nose and paranasal sinuses in order to be able to describe them when needed. / 7)Make good decisions in different professional aspects
-ENT: Otology
-ENT: Rhinology
-ENT: Throat / B4, B13, B14, B15, B16, B17 / B4. Choose the suitable investigation according to the patient complaint and physical examination as well as the ability to analyse and relates the results of all different items of the battery of investigations in order to reach at an etiological diagnosis and possible differential diagnosis utilizing his/her theoretical background that draws charts for different groups of aliments in the field of otology.
B13. Assess the developmental milestones of children and classify their different types of disabilities.
B14. Outline an algorism for diagnosis and management of children disability and determine the degree of handicap.
B15. Determines the cause of the neurological deficit in the domain of ENT).
B16. Interprets the results of investigations as CT, MRI and PTA.
B17. Outline the tumor staging system (TNM) and algorism for patient management according to the cancer stage. / 8)Have innovation/creativity
-ENT: Rhinology
-ENT: Throat
- Basics & Principles of Facial Plastic surgery
- Basic of Allergy & Immunlogy
- Basic Principles of Laser Srugery
- Surgery of Salivary glands / B2, B3 / B2. Collects complete, clear and organized information about the patient’s ailments in order to be able to analyze it and formulate a preliminary idea concerning the etiological diagnosis of ailments.
B3. Ability to listen to the patient complaints and analyse them as well as analyses the speech (verbal) message of the patient concerning voice, phonology, semantic, syntax, and morphology in order to be able to describe precisely the type and degree of pathological aspects of communication. / 9)Discuss and negotiate in high level of confidence based upon proofs and evidences

Professional/practical skills

Courses / ILOs / ARS / NARS
-ENT: Otology
-ENT: Rhinology
-ENT: Throat / C10, C11, C12, C13, C14, C15 / C10. Ability to treat diseases of the ear either by prescribing medical treatment or by performing different surgical procedures..
C11. Ability to treat diseases of the nose and paranasal sinuses either by prescribing medical treatment or by performing different surgical procedures.
C12. Ability to treat diseases of the larynx either by prescribing medical treatment or by performing different surgical procedures.
C13. Practice treatment and rehabilitation methods in pharyngeal diseases including dysphagias.
C14. Perform surgical procedures for treatment of salivary gland diseases
C15. Perform reduction and fixation of maxillofacial fractures / 1)Apply modern and principle professional skills in the area of specialization
-ENT: Throat / C4, C5 / C4. Ability to perform the available standardized technique tests in order to draw a diagnostic profile for the various perceptual, affective, social, cognitive aptitudes as well as the performance abilities of the patients.
C5. Perform measurements and investigations using the available instrumental diagnostic procedures in order to support the preliminary diagnosis objectively. / 2)Write and evaluate technical reports
-ENT: Otology
-ENT: Rhinology
-ENT: Throat / C1, C2, C3 / C1.Practice skills of ENT examination including instrument use and doing related tests on these patients.
C2. Ability to collect patient symptoms effectively and to associate these symptoms with the signs that can be elicited from the physical examination of the ear, nose, pharynx and larynx.
C3. Practice stroboscopic laryngeal examination in order to study vocal fold’s vibration during phonation and to detect the pathological picture of these vibrations and its significance / 3)Adopt assessment methods and tools existing in the area of specialization.
-ENT: Throat / C6, C7, C8, C9 / C6. Practice laryngeal microsurgery and phonosurgery for treatment of structural voice disorders, and other vocal fold lesions.
C7. Perform and master rehabilitation methods for speakers’ and singers’ voice.
C8. Practices treatment methods for nasality.
C9. Practices treatment of the laryngectomized patients / 4)Use of the appropriate technological means to serve the professional practice.
-ENT: Throat / C16 / C16. Identify and rehabilitate children with hearing impairment as well as rehabilitate cochlea implanted children. / 5)Plan to improve the performance of the professional practice and development of the performance of others

Communication & Transferable skills

Courses / ILOs / ARS / NARS
-ENT: Otology
-ENT: Rhinology
-ENT: Throat / D3, D4, D5, D6 / D3. Maintains respect for patient confidentiality
D4. Recognizes ethical issues in practice and is able to discuss, analyze, and manage common ethical situations
D5. Displays sensitivity and responsiveness toward all patient populations
D6. Analyzes and manages ethical issues in complicated and challenging situations / 1)Communicate effectively in different aspects
-ENT: Otology
-ENT: Rhinology
-ENT: Throat / D7 / D7. Effectively communicates during transitions of care / 2)Demonstrate efficient IT capabilities in such a way that serves in the development of the professional practice
-ENT: Otology
-ENT: Rhinology
-ENT: Throat / D2 / D2. Exhibits professional behavior (e.g., reliability, industry, integrity, and confidentiality) / 3)Manage the scientific meetings and manage time
-ENT: Otology
-ENT: Rhinology
-ENT: Throat / D2 / D2. Exhibits professional behavior (e.g., reliability, industry, integrity, and confidentiality) / 4)Adopt self-assessment and Adopt life-long learning
-ENT: Otology
-ENT: Rhinology
-ENT: Throat / D1 / D1. Demonstrates consistent behavior of incorporating evidence- based information in common practice areas / 5)Use different resources for information and knowledge
-ENT: Otology
-ENT: Rhinology
-ENT: Throat / D2 / D2. Exhibits professional behavior (e.g., reliability, industry, integrity, and confidentiality) / 6)Collaborate effectively within multidisciplinary team and lead team works
-ENT: Otology
-ENT: Rhinology
-ENT: Throat / D2 / D2. Exhibits professional behavior (e.g., reliability, industry, integrity, and confidentiality) / 7)Demonstrate a high level of competence in the management of time and scientific meetings

(1)Curriculum structure and contents:

4.a- Duration of the program (in years or months): 42 months

4.b-program structure:

*The program consists of two parts; the first part composed of three courses which are: surgical anatomy & embryology of ENT head & neck and chest,Pathology of ENT and head and neck neoplasms, and physiology related to ENT, Head and Neck Surgery.

The second part composed of two courses which are: ENT & head and Neck Surgery, Elective course that include Basic & Principles of Facial Plastic Surgery sub course, Basic of Allergy & Immunology sub course, Basic Principles of Laser Surgery sub course and Surgery of Salivary Glands sub course.

*Candidates should fulfill a total of60 credit hours.

●4.b.1: Number of credit hours(minimum) :

First part:5 credit hours. Second part:25 credit hours. Thesis:15 credit hours.

Activities included in the log book: 15 credit hours.

●4.b.2: Teaching hours/week:

First part:

Lectures:5 hour/week.Total:75hours for 20 weeks (referred to the table below)

Second part:

Lectures/seminars: 375hours in 75 wks.

Clinical/practical:450 hours in 75 wks.

(referred to the table below)

(2)Program courses:

First part (20 weeks durationover a period of 5 months):

a-Compulsory courses:

Course Title / Course Code / Credit hours / NO. of hours per week / Total teaching hours/20 wks / Program ILOs covered (REFERRING TO MATRIX)
Theoretical / Lab.
/practical / Field / Total
Lectures / seminar
Surgical Anatomy & Embryology of
ENT head & neck and chest / ENT 601
ENT 624 / 2 / 30 hours / ----- / ----- / ---- / 30 hours / A1
Pathology of ENT and head & neck
neoplasms / ENT 605
ENT 624 / 2 / 30 / ----- / ----- / ---- / 30 hours / A1, A2, A6, A7, A8
Physiology related to ENT, Head and
Neck Surgery / ENT 603
ENT 624 / 1 / 15 / 15 hours / A1

*Advanced studies in medical fields consist of two hours lecture for 14lectures over four weeks.

b-Elective courses: none

Second part(76 weeks duration/19 months)

a-Compulsory courses

Course Title / Course
Code / Credit hours / NO. of hours per week / Total teaching hours / Program ILOs covered (REFERRING TO MATRIX)
Theoretical / clinincal / Field / Total
Lectures / seminars
ENT & Head and Neck surgery / ENT 624 / 23 / -----
1- otology and neuro-otology / ENT 624(1) / 8 / 5 hours
weekly
15 weeks / 7 hour
weekly
15 weeks / ----- / 180 / A1,A2,A3, A4,A5,A6,A15,A16
B4,B10,B15,B16
C1.C2,C10
D1-7
2- rhinology and anterior skull base / ENT 624(2) / 8 / 5 hours
weekly
15 weeks / 7 hour
weekly
15 weeks / ----- / 180 / A1,A2,A3, A8,A15,A16
B1,B2,B5, B15,B16
C1, C2. C11
D1-7
3- Throat, head and neck surgery and facial plastic surgery / ENT 624(3) / 7 / 13 hours
weekly
15 weeks / 16 hour
weekly
15 weeks / ----- / 435 / A1, A2, A3, A4, A7,A8, A9, A10, A11, A12, A14
B1, B2, B3, B6-17
C1-15
D1-7
Elective Course :
- Basics & Principles of Facial
Plastic surgery
- Basic of Allergy & Immunlogy
- Basic Principles of Laser Srugery
- Surgery of Salivary glands / ENT 624 BFPS
ENT 624 BAI
ENT624 BLS
ENT 624 BSG / 2 / 2 hours weekly
15 weels / ----- / 30 / A1,A2
B1,B2
Log book / ENT 624 C
15 ENT 624 P / 15 credit hours
Thesis / 15 credit hours

b-Elective courses: none

Program-Courses ILOs Matrix

Program ILOs are enlisted in the first row of the table (by their code number: a1, a2……etc), then the course titles or codes are enlisted in first column, and an "x" mark is inserted where the respective course contributes to the achievement of the program ILOs in question.

Course
Title/Code
A1 / A2 / A3 / A4 / A5 / A6 / A7 / A8 / A9 / A10 / A11 / A12 / A13 / A14 / A15 / A16 / B1 / B2 / B3 / B4 / B5 / B6 / B7 / B8 / B9 / B10 / B11 / B12 / B13 / B14 / B15 / B16 / B17
Surgical Anatomy & Embryology of ENT head & neck and chest / X
Pathology of ENT and head & neck neoplasms / X / x / x / x / x
Physiology related to ENT, Head and Neck Surgery / x
ENT:Otology / x / x / x / x / x / x / x / x / x / x / X
ENT:Rhinology / x / x / x / x / x / x / x / x / x / x / X
ENT:Throat / x / x / x / x / x / x / x / x / x / x / x / x / x / x / x / x / x / x / x / x / x / x / x / x / x / x / X
Elective Course :
- Basics & Principles of FacialPlastic surgery
- Basic of Allergy & Immunlogy
- Basic Principles of Laser Srugery
- Surgery of Salivary glands / x / x / x / x
Course
Title/Code
C1 / C2 / C3 / C4 / C5 / C6 / C7 / C8 / C9 / C10 / C11 / C12 / C13 / C14 / C15 / C16 / D1 / D2 / D3 / D4 / D5 / D6 / D7
Surgical Anatomy & Embryology of ENT head & neck and chest
Pathology of ENT and head & neck neoplasms
Physiology related to ENT, Head and Neck Surgery
ENT:Otology / x / x / X / x / x / x / x / x / x / X
ENT:Rhinology / x / x / X / x / x / x / x / x / X / x
ENT:Throat / x / x / x / x / x / x / x / x / x / x / x / x / x / x / x / x / x / x / x / x / x / x / X
Elective Course :
- Basics & Principles of FacialPlastic surgery
- Basic of Allergy & Immunlogy
- Basic Principles of Laser Srugery
- Surgery of Salivary glands

P.S. All courses` specifications are attached in Appendix III.

Program aims - ILOs matrix (MD, Otorhinolaryngology)
Program aims / A
1 / A
2 / A
3 / A
4 / A
5 / A
6 / A
7 / A
8 / A
9 / A
10 / A
11 / A
12 / A
13 / A
14 / A
15 / A
16 / B
1 / B
2 / B
3 / B
4 / B
5 / B
6 / B
7 / B
8 / B
9 / B
10 / B
11 / B
12 / B
13 / B
14 / B
15 / B
16 / B
17 / C
1 / C
2 / C
3 / C
4 / C
5 / C
6 / C
7 / C
8 / C
9 / C
10 / C
11 / C
12 / C
13 / C
14 / C
15 / C
16 / D
1 / D
2 / D
3 / D
4 / D
5 / D
6 / D
7
-1Provide the candidate with all the knowledge and to train the candidate on the basic skills on diagnosis and management of ENT diseases as well as teaching and research work. / x / x / x / x / x / x / x / x / x / x / x / x / x / x / x / x / x / x / x / x / x / x / x / x / x / x / x / x / x / x / x / x / x
2- Provide the candidate with the ability to manage patients across all age groups including pediatric, adults and geriatric population, and provide a variety of services skillfully in treatment centers, medical clinics, and in private practice. / x / x / x / x / x / x / x / x / x / x / x / x / x / x / x / x / x / x / x / x / x / x / x / x / x / x / x / x / x / x / x / x / x
3- Prepare candidates efficiently to practice in research laboratories, community centers, colleges and universities, and state and federal agencies. / x / x / x / x / x / x / x
4- The final evaluation should reflect the candidate ability to practice competently and independently. / x / x / x / x / x / x / x / x / x / x / x / x / x / x / x / x / x / x / x / x / x / x / x
5- Provide the candidate with all ethical principles related to his specialty. / x / x
6- Maintenance of abilities necessary for continuous medical education. / x / x / x / x / x / x / x